关键词: 骨质疏松性骨折, 再骨折, 老年人, 护理

Abstract:

Objective To construct an intervention protocol for preventing osteoporotic re-fractures in older patients and to evaluate its feasibility，thereby providing a reference for the clinical practice in re-fracture prevention. Methods Guided by Social Cognitive Theory and the Health Belief Model，a preliminary protocol was developed based on literature review and qualitative interviews. The scientific validity and feasibility of the program were assessed through expert meetings to develop the final version. Using convenience sampling，8 older patients with osteoporotic fractures from the orthopedics department of a tertiary hospital in Beijing were enrolled from June to August 2025. Participant feedback，participation rate，acceptance，and implementation quality were used to evaluate the feasibility. Results A total of 9 experts participated in 2 rounds of expert panel discussions. The expert authority coefficient was 0.901. The final protocol consisted of 3 intervention phases（Level Ⅰ indicators），9 intervention strategies （Level Ⅱ indicators），and 30 intervention measures（Level Ⅲ indicators）. During the 6-week intervention period，no patient dropouts or adverse events such as falls/fractures occurred. The scores for intervention quality evaluation were all above 4 points；regarding intervener acceptance，all item scores except for scheduling were above 4 points；in patient acceptance evaluation，scores for interest and level of identification were above 4 points，but the score for flexibility of intervention focus was relatively low. Conclusion The intervention program for preventing osteoporotic re-fractures in older patients demonstrates scientific validity. Feasibility evaluation suggests a lack of perceived personalization. Future research should focus on developing patient characteristic clustering models to achieve precise matching and personalization of intervention programs，thereby enhancing prevention effectiveness and resource utilization efficiency.

Key words: Osteoporotic Fractures, Re-Fracture, Aged, Nursing Care